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8561. Impact of fatigue on anaesthesia providers: a scoping review. | PSNet
      psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scoping-review
      November 21, 2021 - Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered … nurse anesthetists: a national survey.

8562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38330/psn-pdf
      September 24, 2010 - Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. September 24, 2010 Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Jt Comm J Qu…

8563. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-444
      May 29, 2024 - Study Does nurse use of a standardized flowsheet to document communication with … Continuous monitoring with pulse oximeters can alert nurses to changes in patient status, but, like most … Patients with both evident and occult hypoxemia had increased nurse documentation in the four hours before

8564. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-342
      May 16, 2022 - home care: a multicenter cross-sectional study about medication errors and medication management of nurses … Based on survey feedback from 485 home care nurses in Germany, this study found that regular medication … Attributes (e.g., systematic processes and coordinated communication) and antecedents (e.g., sufficient nurse

8565. Unintended consequences of health care reform: impact of changes in payor mix on patient safety indicators, | PSNet
      psnet.ahrq.gov/issue/unintended-consequences-health-care-reform-impact-changes-payor-mix-patient-safety-indicators
      March 16, 2022 - Topic Hospitals Quality and Safety Professionals Policy Makers Hospital Medicine Nurse

8566. Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. | PSNet
      psnet.ahrq.gov/issue/non-conveyance-older-adult-patients-and-association-subsequent-clinical-and-adverse-events
      October 27, 2021 - About The Topic Researchers Patient Transport Allied Health Services Geriatrics Nurse

8567. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. | PSNet
      psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
      December 09, 2020 - The Topic Researchers Hospitals Quality and Safety Professionals Hospital Medicine Nurse

8568. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet
      psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and
      February 15, 2023 - Hospitals Quality and Safety Professionals Information Professionals Hospital Medicine Nurse

8569. Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. | PSNet
      psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
      August 27, 2012 - In one case, the surgeon ignored both verbal warnings from a nurse and AI alerts.

8570. Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals. | PSNet
      psnet.ahrq.gov/issue/updated-results-ahrq-surveys-patient-safety-culture-workplace-safety-supplemental-item-set
      December 11, 2024 - The Topic Researchers Hospitals Quality and Safety Professionals Hospital Medicine Nurse

8571. Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/interventions-reduce-adverse-drug-event-related-outcomes-older-adults-systematic-review-and
      July 19, 2023 - Download Citation Related Resources From the Same Author(s) Physician and nurse

8572. Harm prevalence due to medication errors involving high-alert medications: a systematic review | PSNet
      psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
      June 19, 2024 - The Topic Hospitals Pharmacists Quality and Safety Professionals Hospital Medicine Nurse

8573. The Empty Bag | PSNet
      psnet.ahrq.gov/web-mm/empty-bag
      June 01, 2018 - The nurse set up the morphine drip along with a carrier solution of normal saline. … The nurse had five other patients assigned to him that day. … The nurse checked on the patient approximately every 30 minutes, but only observed from the doorway and … Later, the bedside nurse and the charge nurse went back into the room to examine the IV set-up and pump … For example, one might read this case and conclude that a double check, by a different nurse, should

8574. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
      December 23, 2020 - Massachusetts Department of Public Health; the Boards of Registration responsible for licensing physicians, nurses … Nurses were required to double-check high-dose chemotherapy orders and to complete specialized training

8575. Medication Errors and Adverse Drug Events | PSNet
      psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
      December 15, 2024 - In hospitals or long-term care settings, this is generally the responsibility of nurses or other trained … administration  to ensure medications are given to the correct patient Minimize interruptions  to allow nurses

8576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49438/psn-pdf
      March 05, 2004 - The video cameras are monitored at the nurses' station, located just inside the OR suite. … useful work-related knowledge to OR workers, such as cleaning staff, surgeons, anesthesiologists, nurses

8577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45408/psn-pdf
      September 07, 2016 - Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. September 7, 2016 van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on the frequency of erroneously cru…

8578. Mobility Lost in the ICU | PSNet
      psnet.ahrq.gov/web-mm/mobility-lost-icu
      August 01, 2018 - It's also important that the PT communicate with the patient's bedside nurse or physician(s) about changes … assist the patient, the respiratory therapist to manage the ventilator and respiratory issues, the nurse … October 1, 2011 Nurse staffing, nursing assistants and hospital mortality: retrospective … December 19, 2018 The association between nurse staffing and omissions in nursing care … January 9, 2014 A clinical nurse specialist intervention to facilitate safe transfer

8579. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
      November 18, 2009 - Study Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Citation Text: Maio V, Hartmann CW, Poston S, et al. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. Am J Med Qual. 2006;21(3):162-8. Copy Citation Form…

8580. Understanding safety culture in long-term care: a case study. | PSNet
      psnet.ahrq.gov/issue/understanding-safety-culture-long-term-care-case-study
      April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …